Legg-Calve-Perthes Disease: Difference between revisions
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== Clinical Presentation == | == Clinical Presentation == | ||
This disease presents in children 2-13 years of age and there is a four times greater incidence in males compared to females. The average age of occurrence is six years.<br>A psoatic limp is typically present in these children secondary to weakness of the psoas major. <br>The child will show a decrease in extension and abduction active ranges of motion.<br>There is usually no traumatic event to initiate symptoms | |||
== Diagnostic Procedures == | == Diagnostic Procedures == |
Revision as of 14:08, 22 June 2009
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Clinically Relevant Anatomy
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This disease involves the femoral head.
Mechanism of Injury / Pathological Process
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The origin of this disease is unknown. The pathology of the disease is, however, accepted and is as follows.
First, there is interrupted blood supply to the capital femoral epiphysis. After this, an infarction of the subchondral bone occurs. Next, revascularization of the area occurs and new bone ossification begins. This is the turning point where a percentage of patients will have normal bone growth and development; while others will develop Legg Calve Perthes Disease. (LCPD). This disease is present when a subchondral fracture occurs. Usually, there is no trauma to cause this scenario. LCPD is most commonly the result of normal physical activity. Because of the subchondral fracture, changes occur to the epiphyseal growth plate.
Clinical Presentation[edit | edit source]
This disease presents in children 2-13 years of age and there is a four times greater incidence in males compared to females. The average age of occurrence is six years.
A psoatic limp is typically present in these children secondary to weakness of the psoas major.
The child will show a decrease in extension and abduction active ranges of motion.
There is usually no traumatic event to initiate symptoms
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Outcome Measures[edit | edit source]
add links to outcome measures here (see Outcome Measures Database)
Management / Interventions
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add text here relating to management approaches to the condition
Differential Diagnosis
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add text here relating to the differential diagnosis of this condition
Key Evidence[edit | edit source]
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Resources
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Case Studies[edit | edit source]
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References[edit | edit source]
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